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1083037287
MICHAEL NIEBERGALL
TACOMA, WA
NPI
1083037287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA P1 60231813)
Enumeration Date
2014-01-24
Last Update Date
2014-01-24
Business Address
-- MICHAEL NIEBERGALL
1301 N HIGHLANDS PKWY
TACOMA, WA 98406-2116
Phone number: 253-752-7112
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Mailing Address
-- MICHAEL NIEBERGALL
5018 84TH AVE W
UNIVERSITY PLACE, WA 98467-1824
Phone number:
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